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NPI Code Detail

MEDICARE: LAUREN SMITH LPC

MEDICARE:   LAUREN  SMITH  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor8707LA

General Provider Information

NPI Number : 1578343356
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN SMITH LPC
Provider Business Mailing Address
First Line : 131 PLANTATION TRCE
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71112-8807
Country : US
Telephone Number : 318-210-9147
Fax Number :
Provider Business Practice Location Address
First Line : 401 HAMILTON RD STE 114
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-4615
Country : US
Telephone Number : 318-210-9147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2023
Last Update Date : 10/03/2023

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Directions to “ LAUREN SMITH LPC” Practice Location

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